Individual ProviderOdinachi Chinenye NwaigweNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address7320 Amberleigh Way, Duluth, GA 30097-1872(678) 524-7836PECOS EnrollmentBased on the most recent information from CMS, provider Odinachi Chinenye Nwaigwe does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:24 AM.Profile DetailsProvider ID1144955907Provider TypeIndividualFull NameNwaigwe, Odinachi ChinenyeTitleMrs.CredentialNPGenderFemaleSole ProprietorYesEnumeration Date7/17/2022Last Updated7/17/2022Contact InformationPractice LocationPractice Address7320 Amberleigh Way, Duluth, GA 30097-1872Phone(678) 524-7836FaxUnlisted FaxMailing LocationMailing Address7320 Amberleigh Way, Duluth, GA 30097-1872Phone(678) 524-7836FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN255795GeorgiaProvider IdentifiersIDDescriptionIssuerIDRN255795DescriptionOtherIssuerGEORGIA LICENSEGeorgia